2013-08-13T19:09:18-05:00 2012-12-31 161226221 FUST CHARLES CHAMBERS LLP 5784 WIDEWATERS PARKWAY SYRACUSE NY 13214 990 2012-01-01 161165049 UNITED HEALTH SERVICES HOSPITALS INC UNIT 6077623024 10-42 MITCHELL AVENUE BINGHAMTON NY 13903 MATTHEW J SALANGER 6077623024 2013-08-12 1 ANGELA M FRANCO P00589741 3154463600 2012 2016-02-24 21:20:13Z MATTHEW J SALANGER 10-42 MITCHELL AVENUE BINGHAMTON NY 13903 527551003 0 X WWW.UHS.NET X 1981 NY UNITED HEALTH SERVICES HOSPITALS, INC. (HEREAFTER REFERRED TO AS UHSH), IS A NOT-FOR-PROFIT PROVIDER OF HEALTH CARE SERVICES AND IS PART OF AN INTEGRATED HEALTH CARE DELIVERY SYSTEM SERVING NEW YORK'S SOUTHERN TIER AND SURROUNDING AREAS. UHSH FULFILLS ITS MISSION BY WORKING TOGETHER WITH THE COMMUNITY, PHYSICIANS, AND OTHER HEALTH CARE PROVIDERS TO CONTINUOUSLY IMPROVE THE AVAILABILITY AND QUALITY OF SERVICES. 12 11 4661 718 -27184 -27184 4237695 3982411 434932336 495544352 1203810 1003140 24820369 26070346 465194210 526600249 0 0 0 0 210902591 242944359 0 0 0 226245946 262724703 437148537 505669062 28045673 20931187 346616388 371456309 239088740 240494821 107527648 130961488 X THE UHSH'S PRIMARY MISSION IS TO SERVE THE PEOPLE OF OUR REGION, TO IMPROVE OR MAINTAIN THEIR HEALTH, AND TO PROVIDE PATIENT-CENTERED, CONTEMPORARY HEALTH SERVICES IN A CARING, COMPETENT, AND CONVENIENT MANNER. SERVICES WILL BE AFFORDABLE AND WELL ORGANIZED TO MEET THE NEEDS OF OUR PATIENTS AND THEIR FAMILIES. 0 0 146898249 248953825 INPATIENT AND ACUTE SERVICES - UHSH FULFILLS ITS MISSION BY WORKING TOGETHER WITH THE COMMUNITY, PHYSICIANS, AND OTHER HEALTH CARE PROVIDERS TO CONTINUOUSLY IMPROVE THE AVAILABILITY AND QUALITY OF SERVICES AND THE ABILITY TO PROVIDE A COMPREHENSIVE RANGE OF SHORT-TERM INPATIENT ACUTE AND REHABILATIVE SERVICES ON ITS WILSON MEDICAL CENTER AND BINGHAMTON GENERAL HOSPITAL CAMPUSES. WILSON MEDICAL CENTER IS A 280-BED TEACHING HOSPITAL WHICH PROVIDES A FULL RANGE OF MEDICAL-SURGICAL SERVICES, INCLUDING: CARDIOLOGY, PERINATOLOGY, OPHTHALMOLOGY, EMERGENCY MEDICINE, MATERNITY CARE, PULMONARY MEDICINE, NEONATOLOGY, PEDIATRICS, AND NEUROSCIENCE. WILSON MEDICAL CENTER IS A REGIONAL REFERRAL CENTER FOR THE ADVANCED PRACTICE OF EMERGENCY MEDICINE, NEUROSURGERY AND NEWBORN INTENSIVE CARE. IT IS ALSO THE SITE FOR THE PRACTICE OF OPEN-HEART SURGERY AND OTHER ADVANCED CARDIAC PROCEDURES. BINGHAMTON GENERAL HOSPITAL IS A 220-BED FACILITY OFFERING: MENTAL HEALTH SERVICES, ORTHOPEDIC AND RECONSTRUCTIVE SURGERY, DIALYSIS, REHABILITATION CENTER, AND A TRANSITIONAL CARE UNIT. TOTAL INPATIENT DAYS FOR THE YEAR ENDED DECEMBER 31, 2012 TOTALED 104,565 DISCHARGES WERE 18,846 AND AVERAGE LENGTH OF STAY WAS 5.6 DAYS. THERE WERE 1,590 BIRTHS AND 4,574 INPATIENT SURGERIES PERFORMED AT UHSH IN 2012. IN 2012, UHSH GAVE FINANCIAL ASSISTANCE TO APPROXIMATELY 700 INDIVIDUALS FOR WHICH $1,621,304 OF INPATIENT CARE (AT CHARGES) WAS PROVIDED. 90501996 214618588 OUTPATIENT AND AMBULATORY SERVICES - UHSH ALSO PROVIDES A COMPREHENSIVE RANGE OF OUTPATIENT DIAGNOSTIC AND TREATMENT SERVICES, ON ITS WILSON MEDICAL CENTER AND BINGHAMTON GENERAL HOSPITAL CAMPUSES. WILSON MEDICAL CENTER PROVIDES A FULL RANGE OF MEDICAL OUTPATIENT SERVICES, INCLUDING EMERGENCY DEPARTMENT, AMBULATORY SURGERY, FULL-SERVICE LABORATORY, COMPREHENSIVE IMAGING, GASTROENTEROLOGY LAB, CYBERKNIFE, CARDIAC CATH LAB, AND OTHER PROCEDURAL OUTPATIENT SERVICES. BINGHAMTON GENERAL HOSPITAL ALSO PROVIDES EMERGENCY DEPARTMENT, AMBULATORY SURGERY, LABORATORY, IMAGING AND GASTROENTEROLOGY LAB SERVICES, IN ADDITION TO HEMODIALYSIS, CARDIAC REHABILITATION, OUTPATIENT MENTAL HEALTH, AND OUTPATIENT CHEMICAL DEPENDENCY SERVICES. TOTAL PATIENT VISITS FOR OUTPATIENT SERVICES FOR YEAR-END 2012 TOTALED 1,499,609, EXCLUSIVE OF THE CLINIC SERVICES NOTED IN 4C BELOW. INCLUDED IN THE 1,499,609 VISITS WERE 49,386 EMERGENCY ROOM VISITS, 11,802 EMERGENCY ROOM TREATED AND ADMITTED AS ACUTE CARE PATIENTS, 21,406 VARIOUS OUTPATIENT SURGICAL CASES, 110,951 SPECIALTY CARE VISITS AND 223,011 OTHER OUTPATIENT DEPARTMENT VISITS. IN 2012 UHSH GAVE FINANCIAL ASSISTANCE TO APPROXIMATELY 35,000 INDIVIDUALS FOR WHICH $3,297,417 OF OUTPATIENT CARE (AT CHARGES) WAS PROVIDED. 23952071 12504789 CLINICS - UHSH PROVIDES A WIDE RANGE OF PRIMARY CARE AND SPECIALTY CARE CLINICS. PRIMARY CARE SERVICES ARE THE FOUNDATION FOR SERVING THE COMMUNITY WITH A COORDINATED SYSTEM OF CARE, WITH SPECIAL ATTENTION TO UNDER-SERVED AREAS. UHSH OFFERS TWELVE FAMILY CARE CENTERS LOCATED THROUGHOUT A MULTI-NEW YORK COUNTY SERVICE AREA: 1)BINGHAMTON FAMILY CARE, 2) BINGHAMTON PEDIATRIC CENTER, 3) CLINTON STREET (BINGHAMTON), 4) NORTHERN TIOGA, 5) DEPOSIT, 6) WINDSOR, 7) JOHNSON CITY, 8) MITCHELL AVENUE (BINGHAMTON), 9) CANDOR, 10) OWEGO, 11) GREENE AND 12)ENDICOTT. OTHER OUTPATIENT SERVICES INCLUDE: 2 SCHOOL BASED HEALTH CENTERS, DIABETES MANAGEMENT CENTER, DENTAL CLINIC, NEPHROLOGY CLINIC, PLASTIC SURGERY CLINIC, AND WOMENS' HEALTH CENTER. TOTAL PATIENT CLINIC VISITS/PHYSICIAN ENCOUNTERS FOR THE UHSH CLINICS AT YEAR-END 2012 TOTALED 232,214. 181808142 19467151 ALL OTHER - UHSH FULFILLS ITS MISSION BY WORKING TOGETHER WITH THE COMMUNITY, PHYSICIANS, AND OTHER HEALTH CARE PROVIDERS TO CONTINUOUSLY IMPROVE THE AVAILABILITY AND QUALITY OF SERVICES AND THE ABILITY TO PROVIDE EDUCATIONAL PROGRAMS IN WHICH GRADUATE, UNDERGRADUATE AND CONTINUING MEDICAL EDUCATION, AS WELL AS NURSING AND OTHER PROFESSIONAL AND TECHNICAL TRAINING AND SCHOLARSHIP PROGRAMS, MAKE AVAILABLE WELL-TRAINED HEALTH CARE PROFESSIONALS AND ADVANCED CLINICAL AND MEDICAL PRACTICES. IN 2012, AN ESTIMATED 240 MEDICAL STUDENTS, REGISTERED NURSES, AND PHARMACY STUDENTS BENEFITTED FROM UHSH PROGRAMS. UHSH ALSO PROVIDES PROGRAMS AND SERVICES WHICH EDUCATES OUR PATIENTS, THEIR FAMILIES, BUSINESSES AND THE COMMUNITY AT LARGE ABOUT PROMOTING HEALTHY LIFESTYLES, FACILITATING UNDERSTANDING OF PERSONAL HEALTH STATUS, INCREASING KNOWLEDGE OF HEALTH CARE OPTIONS, AND ENCOURAGING EFFECTIVE UTILIZATION OF THE HEALTH-CARE SYSTEM. DURING 2012, AN ESTIMATED 58,000 COMMUNITY MEMBERS WERE SERVED. UHSH INCREASES ACCESS TO HEALTH CARE SERVICES BY OFFERING AN ADVOCACY PROGRAM WHICH HELPS THOSE WITHOUT FINANCIAL RESOURCES TO PAY THEIR HEALTHCARE BILLS. UHSH ALSO SPONSORS COMMUNITY ORGANIZATIONS THAT BRING PROGRAMS TO THE COMMUNITY WHICH ARE MOST DIRECTLY RELATED TO HEALTH ISSUES OR PROMOTE LOCAL HEALTH AND HUMAN SERVICES WITHIN THE COMMUNITY. AN ESTIMATED $146,000 IN SPONSORSHIP FUNDS WERE PROVIDED. 181808142 19467151 443160458 1 1 0 1 0 0 0 0 0 1 1 0 1 0 1 1 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 287 0 1 4661 1 1 1 0 0 0 0 0 0 0 0 0 X 12 11 0 0 1 0 1 1 0 1 1 0 0 0 0 1 1 1 1 0 NY X ROBERT G GOMULKA- CFO 6077623024 10-42 MITCHELL AVE BINGHAMTON NY 13903 MICHAEL SCULLARD 2.00 X X 0 0 0 DIANA BENDZ 2.00 X X 0 0 0 BRUCE BOWLING MD 2.00 X X 0 0 0 SUSAN MISTRETTAESQ 2.00 X X 0 0 0 JEROME CANNY 2.00 X 0 0 0 HORATIO DENSON 2.00 X 0 0 0 SARAH GUELDNERRNDSNFAAN 2.00 X 0 0 0 CAROL MILLER MD 2.00 X 0 0 0 JUDITH PECKHAM 2.00 X 0 0 0 JAMES VANVOORST 2.00 X 0 0 0 SEAN BRADY 2.00 X 0 0 0 MATTHEW SALANGER 27.50 27.50 X X 642385 642385 38033 JAMES JEWELL MD 1.00 55.00 X 0 197282 42301 ROBERT G GOMULKA 33.00 22.00 X 276062 184041 32888 RAJESH DAVE MD 44.00 11.00 X 459150 114788 33045 JOHN CARRIGG 55.00 X 392888 0 37673 ELIZABETH BOLAND 55.00 X 269580 0 27429 MICHAEL MCNALLY 55.00 X 247660 0 26945 MARK MCMANUS 55.00 X 242070 0 30936 CHRISTINA BOYD 27.50 27.50 X 100934 100934 31436 NANCY RONGO 55.00 X 179747 0 30163 ROBERT MCCARTHY 27.50 27.50 X 82970 82970 20245 ISKANDAR KASSIS MD 55.00 X 509606 0 12855 ALIAKSANDAR DZMITRYIEV 55.00 X 223527 0 1224 SALVATORE ARGIRO 55.00 X 230006 0 17239 OLAYINKA WILHELMMD 55.00 X 292709 0 17708 JOHN R CUNNINGHAM MD 55.00 X 280007 0 9852 4429301 1322400 409972 92 0 1 0 LECHASE CONSTRUCTION 300 TROLLEY BLVD ROCHESTER NY 14606 CONTRACTOR 16512931 ARAMARK HEALTHCARE SUPPORT SYS 24863 NETWORK PLABCE CHICAGO IL 60673 FOOD SERVICES 3623000 LABORATORY CORP OF AMERICA HOLDINGS PO BOX 12140 BURLINGTON NC 27216 LABORATORY SERVICES 3106857 SODEXO OPERATIONS LLC PO 360170 PITTSBURGH PA 15251 FOOD SERVICES 2977513 MORRIS PROTECTIVE SERVICES 1723 BURNET AVE SYRACUSE NY 13206 SECURITY SERVICES 1981020 90 2013018 1969393 3982411 OPERATING ROOM 621990 69025174 69025174 LAB CLINICAL-CHEMISTRY 621500 42385016 42385016 PHARMACY 621990 30826979 30826979 CT SCAN 621500 29804410 29804410 CARDIAC CATH LAB 621500 21166976 21166976 302335797 302335797 495544352 1003140 1003140 3248433 950754 2297679 2297679 -27184 2324863 SERVICES RENDERED 621990 10139404 10139404 OCCUPATIONAL HEALTH 621300 2424296 2424296 SOUTHERN TIER HLTH LNK 621990 1155173 1155173 10053794 10053794 23772667 526600249 509263225 -27184 13381797 3137618 1255047 1882571 181926348 163733713 18192635 12287811 11059030 1228781 31819746 28637771 3181975 13772836 12395552 1377284 8873478 8873478 390768 390768 255823 255823 45463784 45463784 65497 57553 7944 5959822 2518427 3441395 4450236 1447567 3002669 10838248 5109534 5728714 789610 630843 158767 1528778 1345325 183453 17596901 15485273 2111628 3433711 3021666 412045 PURCHASED SERVICES 36902854 30531544 6371310 PROSTHESIS EXPENSE 29530251 29530251 BAD DEBTS 28770296 28770296 MED/SURG SUPPLIES & SVC 25199781 24221974 977807 42674865 37945308 4729557 505669062 443160458 62508604 0 60045387 57171366 56444343 60327332 7740456 7442125 14874065 11966562 478456628 309486360 127530707 168970268 49084003 30412371 18727139 26737553 12170288 8428732 346616388 371456309 68915669 57417513 72435916 67956043 97737155 115121265 239088740 240494821 X 94095830 117227304 9353987 9629166 4077831 4105018 107527648 130961488 346616388 371456309 X 20931187 553500 1949152 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 26791 26791 0 EXPLANATION OF LOBBYING ACTIVITIES: PART II-B, LINE 1: UHS HOSPITALS HAS LIMITED LOBBYING ACTIVITIES WHICH ARE CONDUCTED ON BEHALF OF THE ORGANIZATION THROUGH MEMBERSHIP IN THE HEALTHCARE ASSOCIATION OF NEW YORK STATE. THESE ACTIVITIES INCLUDE ADVERTISEMENTS AND CONTACTS WITH THE LEGISLATORS ON VARIOUS HEALTH ISSUES. 2036899 245491 135053 8357 2138980 2080223 84937 120083 8178 2036899 1985769 264023 156640 12929 2080223 1873470 321837 180000 21992 7546 1985769 2624745 -543322 180000 20864 7089 1873470 0.94300 0.05700 1 0 11547394 11547394 241212481 149863205 91349276 11564908 4638165 6926743 198905048 154984990 43920058 15226797 15226797 168970268 MUTUAL FUNDS @ CSV 2499569 F FUNDED DEPREC INVESTMENTS 9903481 F ENDOWMENT INVESTMENT 2090878 F INVESTMENT-UHS FOUNDATION 11739448 F HEAL GRANT 504177 F 26737553 ACCRUED PENSION COST-ADDT'L MINIMUM LIABILITY 75349669 DEFERRED COMPENSATION PAYABLE 2499569 OTHER LIABILITIES 32184133 DUE TO AFFILIATES 5087894 115121265 526600250 0 526600250 0 526600250 505669062 0 505669062 0 505669062 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: THE USE OF ENDOWMENT FUNDS RECEIVED FROM THE UNITED HEALTH SERVICES FOUNDATION ARE IN ACCORDANCE WITH THE DONORS' WISHES. (I.E. PEDIATRIC PROGRAMS AND CARDIAC PROGRAMS) PART X, LINE 2 : THE HOSPITALS ARE A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3)OF THE INTERNAL REVENUE CODE AND ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE INTERNAL REVENUE CODE. AS OF DECEMBER 31, 2012 AND 2011, THE HOSPITALS DID NOT HAVE ANY UNRECOGNIZED TAX BENEFITS OR ANY RELATED ACCRUED INTEREST OR PENALTIES. THE TAX YEARS OPEN TO EXAMINATION BY THE FEDERAL AND STATE TAXING AUTHORITIES ARE 2009 THROUGH 2012. 1 1 X 1 X 1 X 201.000000000000 0 1 0 0 2582 2023233 214059 1809174 0.00360 69669643 69477038 192605 0.00040 2582 71692876 69691097 2001779 0.00400 11023356 5170778 5852578 0.01160 4677020 4677020 0.00920 459712 74849 384863 0.00080 1951437 422954 1528483 0.00300 18111525 5668581 12442944 0.02460 2582 89804401 75359678 14444723 0.02860 259 2339 20568 20568 0.00000 229 69784 65284 4500 0.00000 146008 146008 0.00030 52718 1678033 422956 1255077 0.00250 106 640949 640949 0.00130 259 55392 2555342 488240 2067102 0.00410 0 11863832 2746 110201410 97193747 13007663 X 1 0 2 1 WILSON MEMORIAL REGIONAL MEDICAL CENTER

33-57 HARRISON ST JOHNSON CITY NY 13790

X X X X OUTLYING CLINICS 2 BINGHAMTON GENERAL HOSPITAL

10-42 MITCHELL AVE BINGHAMTON NY 13903

X X X X OUTLYING CLINICS WILSON MEMORIAL REGIONAL MEDICAL CENTER 1 1 1 200.000000000000 1 201.000000000000 1 X X X 1 1 X X X X 1 X X X 0 1 X 0 0 BINGHAMTON GENERAL HOSPITAL 2 1 1 200.000000000000 1 201.000000000000 1 X X X 1 1 X X X X 1 X X X 0 1 X 0 0 26 WILSON PLACE AMBUL CARE CENTER

52 HARRISON ST JOHNSON CITY NY 13790

OUTPATIENT SPECIALTY CARE CENTER UHSH WALK-INMULTIPLE SPECIALTY CARE

4417 VESTAL PARKWAY EAST VESTAL NY 13850

OUTPATIENT SPECIALTY CARE CENTER WILSON SQUARE MULT SPEC CARE CTRS

30 HARRISON ST JOHNSON CITY NY 13790

OUTPATIENT SPECIALTY CARE CENTER UHSH MULTIPLE SPECIALTY CARE CENTERS

65 PENNSYLVANIA AVE BINGHAMTON NY 13903

OUTPATIENT SPECIALTY CARE CENTER BINGHAMTON CARE CENTER - INT MED

SUMMITT BLDG 33 MITCHELL AVE BINGHAMTON NY 13903

OUTPATIENT SPECIALTY CARE CENTER UHSH MULTIPLE SPECIALTY CARE CENTERS

601 RIVERSIDE DRIVE JOHNSON CITY NY 13790

OUTPATIENT SPECIALTY CARE CENTER ENDICOTT FAMILY CARE CENTER - WALK INPT

1302 E MAIN ST ENDICOTT NY 13760

OUTPATIENT FAMILY CARE CENTER JOHNSON CITY FAMILY CARE CENTER

40 ARCH ST WILSON HOSPITAL JOHNSON CITY NY 13790

OUTPATIENT FAMILY CARE CENTER BINGHAMTON PEDIATRIC CENTER

10-42 MITCHELL AVE BINGHAMTON NY 13903

OUTPATIENT FAMILY CARE CENTER SUMMIT ORTHOPEDICS CLINIC

33 MITCHELL AVE BINGHAMTON NY 13903

OUTPATIENT FAMILY CARE CENTER VESTAL DERMATOLOGY CLINIC

200 FRONT ST VESTAL NY 13850

OUTPATIENT SPECIALTY CARE CENTER CYBERKNIFE CENTER OF NEW YORK

22 HARRISON ST JOHNSON CITY NY 13790

OUTPATIENT SPECIALTY CARE CENTER UPPER FRONT ST INT MED & FAM PRAC

1290 UPPER FRONT ST BINGHAMTON NY 13901

OUTPATIENT SPECIALTY CARE CENTER UHSH MULTIPLE SPECIALTY CARE CENTER

93 PENNSYLVANIA AVE BINGHAMTON NY 13903

OUTPATIENT SPECIALTY CARE CENTER ENDWELL PULMONARY & INTERNAL MEDICINE

800 HOOPER RD ENDWELL NY 13760

OUTPATIENT SPECIALTY CARE CENTER GREENE FAMILY CARE CENTER

15 BIRDSALL ST GREENE NY 13778

OUTPATIENT FAMILY CARE CENTER DEPOSIT FAMILY CARE CENTER

53 PINE ST DEPOSIT NY 13754

OUTPATIENT FAMILY CARE CENTER CANDOR FAMILY CARE CENTER

54 MAIN ST CANDOR NY 13743

OUTPATIENT FAMILY CARE CENTER WINDSOR FAMILY CARE CENTER

5 COLLEGE AVE WINDSOR NY 13865

OUTPATIENT FAMILY CARE CENTER JOHNSON CITY INTERNAL MEDICINE

507 MAIN ST JOHNSON CITY NY 13790

OUTPATIENT FAMILY CARE CENTER NORTHERN TIOGA FAMILY CARE CENTER

119 WHIG ST NEWARK VALLEY NY 13811

OUTPATIENT FAMILY CARE CENTER CLINTON STREET FAMILY CARE CENTER

142 CLINTON ST BINGHAMTON NY 13905

OUTPATIENT FAMILY CARE CENTER BENJAMIN FRANKLIN SCHOOL-BASED CLINIC

262 CONKLIN AVE BINGHAMTON NY 13903

OUTPATIENT SPECIALTY CARE CENTER THEO ROOSEVELT SCHOOL-BASED CLINIC

9 OGDEN ST BINGHAMTON NY 13901

OUTPATIENT SPECIALTY CARE CENTER OWEGO FAMILY CARE CENTER

42 W MAIN ST OWEGO NY 13827

OUTPATIENT FAMILY CARE CENTER UHS PHYSICAL THERAPY

4401 VESTAL PARKWAY EAST VESTAL NY 13850

OUTPATIENT SPECIALTY CARE CENTER PART I, LINE 7: THE ORGANIZATION, UNITED HEALTH SERVICES HOSPITALS,(HEREAFTER REFERRED TO AS UHSH) HAS USED THE COST TO CHARGE COSTING METHODOLOGY UTILIZING AMOUNTS FROM OUR 2012 MEDICARE COST REPORT FOR ALL PERTINENT CALCULATIONS IN PART I, LINE 7. ADDITIONALLY, THERE IS NO BAD DEBT EXPENSE IN ANY OF THE COSTS USED IN CALCULATING THE PERCENTAGES IN PART I, LINE 7, COLUMN F BECAUSE WE USED EXHIBIT A, CMS - 2552. PART I, LINE 7G: THE ORGANIZATION HAS SEVERAL PROGRAMS THAT OPERATE AT A LOSS AND ARE SUBSIDIZED BY OTHER PROGRAMS AND SERVICES. TWO OF THE MOST NOTABLE, AS WELL AS ONES WE ARE ABLE TO MEASURE/QUANTIFY, ARE THE ALCOHOL REHABILITATION PROGRAM AND INPATIENT PHYSICAL REHABILITATION PROGRAM. UHSH IS THE SOLE COMMUNITY PROVIDER FOR THESE TWO SERVICES. THE AMOUNTS ON LINE 7G REPRESENT THE TOTAL COMMUNITY BENEFIT EXPENSE, OFFSETTING REVENUE AND NET COMMUNITY BENEFITS EXPENSE FOR THESE TWO PROGRAMS. PART I, L7 COL(F): DURING 2012 BAD DEBT EXPENSE WAS INCLUDED AS A REDUCTION OF PATIENT SERVICE REVENUE IN ACCORDANCE WITH THE FINANCIAL ACCOUNTING STANDARDS BOARD UPDATE (ASU) NO. 2011-07, HEALTH CARE ENTITIES (TOPIC 954). THE ADOPTION OF THIS METHOD HAD THE EFFECT OF REDUCING NET PATIENT SERVICE REVENUE BY $28,770,296 IN 2012. PART II: THE FOLLOWING ARE WAYS IN WHICH UHSH'S COMMUNITY BUILDING ACTIVITIES PROMOTE THE HEALTH OF THE COMMUNITIES IT SERVES:- UHSH STAY HEALTHY CENTER FOR COMMUNITY HEALTH, LOCATED AT THE OAKDALE MALL IN JOHNSON CITY, NEW YORK COLLABORATES WITH NUMEROUS COMMUNITY AGENCIES AND PROMOTES HEALTHY LIFESTYLES. NURSES AT OUR STAY HEALTHY PROGRAM HANDLE SPECIFIC HEALTH RELATED CALLS, PROVIDE GENERAL HEALTH AND WELLNESS INFORMATION, CUSTOMIZE PHYSICIAN REFERRALS TO MEET PATIENT NEEDS AND OFFER COMMUNITY AND HOSPITAL BASED WELLNESS PROGRAMS. THE PROGRAM INCLUDES: JUST ASK US, PORTION DISTORTION, ASTHMA EDUCATION, GERMBUSTERS, HEART HEALTH IN SCHOOLS (BC WALKS, JR., FARM-TO-YOU, 1% OR LESS), POWERFUL TOOLS FOR CAREGIVERS, HEALTHY LIVING CLASSES FOR THOSE LIVING WITH CHRONIC DISEASES, ASTHMA DISEASE MANAGEMENT, CANCER NAVIGATION, TEA WITH RUTH, MUGS FOR MEN, LEAD EDUCATION, LACTATION CONSULTING, TOBACCO CESSATION, WORKSITE WELLNESS, BC WALKS, STAY HEALTHY SENIORS, STAY HEALTHY KID'S CLUB, MASON ON THE MOVE, DIABETES DISEASE MANAGEMENT AND CHF DISEASE MANAGEMENT. ALSO, THE PROGRAM SUPPORTS VARIOUS SUPPORT GROUPS FOR EATING DISORDERS, LYMPHEDEMA AND BREAST CANCER SURVIVORS.- COMMUNITY HEALTH/OUTREACH PROGRAMS: IN 2012, UHSH INVESTED SUBSTANTIAL FUNDS AND SUPPLIED HUMAN RESOURCES TO PROVIDE EDUCATIONAL PROGRAMS, HEALTH SCREENINGS, PRINTED AND ON-LINE EDUCATIONAL INFORMATION, AND OTHER WELLNESS AND PREVENTION SERVICES TO THE COMMUNITY. NUMEROUS UHSH DEPARTMENTS WERE INSTRUMENTAL IN DEVELOPING AND PROVIDING THESE BENEFICIAL PROGRAMS THAT ENABLED THE COMMUNITY TO ACCESS HEALTH EDUCATION AND PREVENTION SERVICES. DURING 2012, $1,255,077 WAS SPENT IN DELIVERING THESE PROGRAMS TO 52,718 COMMUNITY MEMBERS.- SERVING RURAL/UNDER SERVED POPULATIONS: UHSH OPERATES 15 PRIMARY CARE CENTERS, TWO SCHOOL-BASED HEALTH CENTERS AND A DENTAL CLINIC WHICH PROVIDED ESSENTIAL CARE TO THE UNDERSERVED POPULATION, WHICH PROVIDED 244,103 PATIENT ENCOUNTERS IN 2012.- UHS WOMEN'S HEALTH CENTER: THE CENTER OFFERS A COMPREHENSIVE RANGE OF SERVICES FROM GYNECOLOGY TO MATERNITY & CHILDBIRTH TO BREAST HEALTH. THE STAFF OF SPECIALIZED PHYSICIANS, NURSE PRACTITIONERS AND CERTIFIED NURSE MIDWIVES HAVE CREATED A CARING, COMPASSIONATE ENVIRONMENT SERVING WOMEN AT EACH STAGE OF LIFE: TEENAGE YEARS, CHILDBEARING YEARS, MID-LIFE AND SENIOR YEARS, WITH A MULTITUDE OF HEALTH ISSUES. UHSH'S FAMILY CARE CENTERS, THE PRENATAL CARE ASSISTANCE PROGRAM (PCAP)IN OWEGO AND THE WOMEN'S HEALTH CENTER PARTICIPATE IN THE OFFERING OF FINANCIAL ASSISTANCE TO HELP EXPECTANT MOTHERS WITH THE COST OF PRENATAL CARE. DURING 2012, UHSH ASSISTED 223 PREGNANT WOMEN IN ACCESSING MEDICAID SERVICES.- TRANSITIONAL CARE UNIT: THE TRANSITIONAL CARE UNIT AT BINGHAMTON GENERAL HOSPITAL IS A 20 BED, MEDICARE-CERTIFIED, SKILLED NURSING UNIT FOR PATIENTS WHO HAVE PROGRESSED BEYOND HOSPITAL CARE, BUT WHO STILL NEED 24 HOUR SUPERVISION FOR A SHORT PERIOD OF TIME, BEFORE RETURNING HOME. THE UNIT WAS ESTABLISHED AS PART OF A THREE YEAR NYS DEMONSTRATION PROJECT.-BRAIN/SPINE TRAUMA CENTER: WILSON MEDICAL CENTER IS A LEVEL II TRAUMA CENTER WITHIN CENTRAL NEW YORK'S REGIONAL TRAUMA SYSTEM. THE TRAUMA CENTER ACCEPTS SEVERELY INJURED TRAUMA PATIENTS FROM ALL SURROUNDING COUNTIES. THE TRAUMA CENTER IS LOCATED WITHIN THE EMERGENCY DEPARTMENT AT WILSON MEDICAL CENTER, WITH SPACIOUS, SPECIALIZED TRAUMA ROOMS THAT CAN PROVIDE CARE SIMULTANEOUSLY TO AS MANY AS FOUR VICTIMS OF SUDDEN, SERIOUS INJURY.- NEONATAL INTENSIVE CARE UNIT: AS THE PROVIDER OF THE AREA'S ONLY COMPREHENSIVE NICU, WILSON MEDICAL CENTER PROVIDES CARE TO PREMATURE INFANTS, LOW BIRTH WEIGHT BABIES AND THOSE WITH SPECIAL NEEDS. SOPHISTICATED EQUIPMENT, ADVANCED TECHNOLOGY AND OUR HIGHLY-TRAINED STAFF HAVE HELPED THOUSANDS OF INFANTS SINCE THE UNIT OPENED OVER 30 YEARS AGO. THE NEW YORK STATE DEPARTMENT OF HEALTH HAS DESIGNATED THIS UNIT AS THE AREA'S ONLY LEVEL 3 NURSERY FOR CARING FOR BOTH BABIES AND THEIR MOTHERS.- EVENT SPONSORSHIPS: UHSH SUPPORTS SPONSORSHIPS THAT ARE DIRECTLY RELATED TO COMMUNITY HEALTH ISSUES OR PROMOTE LOCAL HEALTH AND HUMAN SERVICES WHILE KEEPING WITH THE MISSION OF UHSH. DURING 2012, UHSH PROVIDED SPONSORSHIP FUNDS TOTALING APPROXIMATELY $146,008 TO A VARIETY OF COMMUNITY ORGANIZATIONS SUCH AS THE AMERICAN HEART ASSOCIATION AND THE AMERICAN CANCER SOCIETY. - VOLUNTEERS AT COMMUNITY EVENTS: UHSH MEDICAL PROFESSIONALS FROM THE UHSH INTERNAL MEDICINE AND FAMILY PRACTICE RESIDENCY PROGRAM, UNITED MEDICAL ASSOCIATES AND OTHER AREAS OF UHSH VOLUNTEER THROUGHOUT THE YEAR TO STAFF MEDICAL TENTS AT NUMEROUS COMMUNITY EVENTS INCLUDING THE SPIEDIE FEST (WHICH DRAWS MORE THAN 100,000 PEOPLE), AMERICAN HEART ASSOCIATION'S HEART WALK, AMERICAN CANCER SOCIETY'S RELAY FOR LIFE AND MAKING STRIDES AGAINST BREAST CANCER, DICK'S SPORTING GOODS OPEN, A ROOM FOR HEAL, AIDS WALK, DIABETES WALK AND MARCH OF DIMES' WALK AMERICA. DURING THE MASSIVE, DEVASTATING FLOODING IN SEPTEMBER OF 2011, FOUR UHSH PRIMARY CARE SITES LOCATED IN UNDER-SERVED AREAS WERE DAMAGED BY THE FLOOD. UHSH ACTED QUICKLY TO RESTORE SERVICES AT THE SITES AND WORKED WITH THE NYS DOH TO APPROVE OPERATIONS AT ALTERNATIVE LOCATIONS FOR 2 SITES THAT WOULD NEED A LONGER RESTORATION PERIOD(CANDOR AND OWEGO). THE CANDOR SITE WAS RESTORED IN LESS THAN A MONTH AND PATIENTS WERE ABLE TO RECEIVE SERVICES WITHOUT INTERRUPTION. THE OWEGO FACILITY WAS EVENTUALLY DEEMED A TOTAL LOSS. UHSH UNDERSTOOD THE NEED TO MAINTAIN SERVICE TO THE COMMUNITY AND IDENTIFIED AN ALTERNATE LOCATION WHILE SERVICES WERE PROVIDED IN NEARBY APALACHIN BY EXISTING OWEGO PROVIDERS. WITH THE ASSISTANCE OF FEMA AND NYS, UHSH INVESTED $1.7M IN A NEW OWEGO FACILITY TO SERVE THE COMMUNITYIN A LOCATION THAT IS NOT IN A FLOOD PLAIN. THE FACILITY INCREASED SERVICE TO THE COMMUNITY BY EXTENDING HOURS OF OPERATION AND ADDING ANCILLARY SERVICES IN THE PRIMARY CARE SETTING TO AVOID LENGTHY TRAVEL BY PATIENTS TO OBTAIN CARE.IN SEPTEMBER 2012, UHSH OPENED THEIR UHS VESTAL CLINIC, A NEW MODEL FOR A HEALTH CARE CLINIC, DESIGNED TO BE PATIENT-CENTRIC AND STABILIZE THE EXISTING PHYSICIAN SUPPLY AND SERVICES IN THE AREA. THE $30M INVESTMENT IN THIS CLINIC INTEGRATES PRIMARY CARE, URGENT CARE, SPECIALTY SERVICES, LABORATORY, IMAGING AND PHARMACY SERVICES AND CONSOLIDATED ALL UHSH WOMEN'S BREAST SERVICES INTO A SINGLE, EASILY ACCESSIBLE LOCATION. THIS PROJECT WAS ALSO INTENDED TO DEVELOP APPEALING PHYSICIAN PRACTICE OPPORTUNITIES TO SUPPORT RECRUITMENT AND SUSTAIN NEEDED PHYSICIANS IN THE COMMUNITY. THE ADDITION OF WALK-IN SERVICES IN THIS LOCATION IN THE COMMUNITY IS EXPECTED TO HAVE A POSITIVE IMPACT(REDUCTION)ON ED UTILIZATION AND WALK-IN VOLUME HAS BEEN GROWING STEADILY WITH HIGH AND GROWING UTILIZATION BY THE NEARBY BINGHAMTON UNIVERSITY STUDENTS.RESIDENCY AND EDUCATION INCENTIVES: AS A MAJOR TEACHING AND EDUCATIONAL FACILITY IN THE SOUTHERN TIER OF NEW YORK STATE AND THE SURROUNDING REGION, UHSH SERVES AS A CLINICAL PRACTICE SITE FOR MEDICAL STUDENTS, NURSING STUDENTS, DIETARY INTERNS,LABORATORY TECHNICIANS, MANAGEMENT/BUSINESS INTERNS AND PHYSICAL THERAPY INTERNS. PROGRAMS SUCH AS THESE PROVIDE THE AREA WITH A CONSTANT SUPPLY OF WELL TRAINED HEALTH CARE PROFESSIONALS AND ENHANCE THE ABILITY OF THE COMMUNITY TO RECEIVE STATE-OF-THE-ART, HIGH QUALITY AND AFFORDABLE MEDICAL CARE. THE UHSH EDUCATION PROGRAM SERVES APPROXIMATELY 130 STUDENTS ANNUALLY. IN 2012, UHSH PROVIDED A TOTAL OF $640,949 IN INCENTIVES, INCLUDING, BUT NOT LIMITED TO: THE RN EDUCATION INCENTIVE PROGRAM, THE PHARMACY EDUCATION INCENTIVE PROGRAM AND SEVERAL TEACHING DAY PROGRAMS FOR PHYSICIANS AND OTHER HEALTH CARE PROFESSIONALS.- UHS FOUNDATION: THE FOUNDATION IS A SEPARATE INDEPENDENT CORPORATION DEDICATED TO RAISING FUNDS DIRECTLY FROM COMMUNITY MEMBERS AND GRANT CONTRIBUTORS FOR THE PURPOSE OF PROVIDING INCREMENTAL FINANCIAL SUPPORT TO CERTAIN MEMBERS OF THE UHSH HEALTH CARE SYSTEM. IN 2012, CAPITAL CONTRIBUTIONS TO UHSH FROM THE UNITED HEALTH SERVICES FOUNDATION, INC. TOTALED $694,634. THESE FUNDS PURCHASED NEEDED MEDICAL EQUIPMENT THAT OTHERWISE WOULD BE UNAFFORDABLE BY UHSH. PART III, LINE 4: UHSH'S FINANCIAL STATEMENTS DO NOT SPECIFICALLY REFERENCE OR DESCRIBE BAD DEBT EXPENSE. THE ORGANIZATION'S COSTING METHODOLOGY USED IN DETERMINING THE AMOUNTS REPORTED ON PART III, SECTION A, NUMBERS 2 AND 3 IS THE RATIO OF PATIENT CARE COSTS TO CHARGES (SEE BELOW FOR GREATER DETAIL).PART III, SECTION A - #2 - THE COST OF BAD DEBTS IS COMPUTED BY APPLYING THE OVERALL RATIO OF PATIENT COST TO CHARGES TO THE TOTAL BAD DEBT EXPENSE. PART III, SECTION A - #3 - THE CHARITY CARE BAD DEBT IS DERIVED BY COMPUTING THE CHARGES SUBJECT TO COLLECTION WHICH IS THE DIFFERENCE BETWEEN THE TOTAL CHARGES AND ALLOWANCES. THIS AMOUNT IS DIVIDED BY UHSH'S TOTAL GROSS CHARGES RESULTING IN THE CHARITY PERCENT WHICH IS APPLIED TO THE TOTAL COST OF BAD DEBTS. PART III, LINE 8: UHSH FEELS THAT ANY SERVICES PROVIDED TO MEDICARE BENEFICIARIES THAT RESULT IN A SHORTFALL TO THE ORGANIZATION BASED ON A LESS THAN ADEQUATE MEDICARE REIMBURSEMENT SHOULD BE TREATED AS A COMMUNITY BENEFIT. UHSH TREATS ANY AND ALL COMMUNITY MEMBERS REGARDLESS OF ABILITY TO PAY. UHSH'S SERVICE REGION HAS A HIGHER PROPORTION OF ELDERLY THAN THE U.S. OR NEW YORK STATE AVERAGES AND HAS AN INCOME LEVEL THAT IS 19% POORER THAN THE U.S. AVERAGE. THEREFORE, UHSH IS SERVICING AT RISK MEDICARE BENEFICIARIES WITH ALL ITS PROGRAMS AND SERVICES. IN ADDITION, IT PROVIDES OVER $4,000,000 OF FINANCIAL ASSISTANCE AND RELATED PROGRAMS TO ITS PATIENTS, MANY OF WHOM ARE MEDICARE BENEFICIARIES. UHSH USES THE COST TO CHARGE COSTING METHODOLOGY UTILIZING AMOUNTS FROM OUR 2012 MEDICARE COST REPORT FOR ALL PERTINENT CALCULATIONS IN PART III, LINE 6. PART III, LINE 9B: UHSH'S POLICY CLEARLY STATES "FORWARDING A CLAIM TO A COLLECTION AGENCY WHILE FINANCIAL ASSISTANCE IS BEING DETERMINED IS PROHIBITED." AFTER PATIENTS' REQUESTS FOR FINANCIAL ASSISTANCE ARE APPROVED THE ORGANIZATION WILL PROVIDE THEM WITH THE SAME LEVEL OF FINANCIAL ASSISTANCE FOR 6 MONTHS AT WHICH TIME ANOTHER EVALUATION OF THE PATIENT'S FINANCIAL CONDITION WILL BE MADE. PART VI, LINE 2: UHSH USES COMMUNITY SPECIFIC DATA FROM MULTIPLE SOURCES TO UNDERSTAND THE HEALTH CARE NEEDS OF OUR AREA RESIDENTS. DURING 2012, WE CONTINUED TO FOCUS ON IMPROVING COMMUNITY HEALTH CARE BY LISTENING TO INPUT FROM OVER 20,000 CUSTOMERS AND RESPONDING TO THOSE NEEDS. ALSO, WE CONTINUALLY INVITE THE PUBLIC TO PARTICIPATE IN OUR SELF-ASSESSMENT PROCESS BY MEANS OF SURVEYS, PRIMARY MARKET STUDIES, FOCUS GROUPS AND E-MAIL COMMENTS SUBMITTED THROUGH OUR COMPREHENSIVE INTERNET SITE. THROUGHOUT THE YEAR INPUT FROM STAFF, THE PUBLIC AND OUR BOARD MEMBERS ARE UTILIZED IN DETERMINING AND SHAPING OUR RESPONSE TO THE COMMUNITY'S HEALTH CARE NEEDS. RECENT STUDIES USED BY THE HOSPITAL FOR THE PURPOSE OF ASSESSING OUR MARKET'S HEALTH STATUS INCLUDE:- PRESS GANEY PATIENT SATISFACTION SURVEY SCORES AND COMMENTS (ONGOING)- UHSH-SPONSORED PRIMARY MARKET RESEARCH STUDIES, INCLUDING A CONSUMER PERCEPTION SURVEY CONDUCTED BY PRC.- MARKET EXPERT SOFTWARE FROM THE HOSPITAL ASSOCIATION OF NEW YORK STATE (HANYS) WHICH CONTAINS A HEALTH STATUS PROFILER MODULE.- UHSH ADMINISTRATIVE AND BOARD STRATEGIC PLANNING COMMITTEES.- FEEDBACK FROM KEY PHYSICIAN PARTNERSHIPS AS WELL AS INPUT FROM VARIOUS PHYSICIAN FORUMS.- QUALITATIVE SURVEYS AND FOCUS GROUPS TO CAPTURE CONSUMER FEEDBACK, PRIMARILY ON NEW PROGRAMS UNDER DEVELOPMENT.- LOCAL AND NATIONAL HEALTH-RELATED NEWS REPORTS.- REPORTS FROM INDUSTRY PUBLICATIONS AND ORGANIZATIONS.UHSH COMMUNITY SERVICE PLANNING IS SHAPED BY ANNUAL STRATEGIC PLANNING WHICH INCLUDES A REVIEW OF ALL AVAILABLE HEALTH/COMMUNITY ASSESSMENT DOCUMENTS, INCLUDING:- COMMUNITY HEALTH ASSESSMENT 2010-2013, BROOME COUNTY HEALTH DEPARTMENT- COMMUNITY HEALTH ASSSESSMENT 2010-2013, TIOGA COUNTY HEALTH DEPARTMENT- HEALTHY PEOPLE 2010- ANNUAL ENVIRONMENTAL ASSESSMENT PREPARED BY UHSH MARKET RESEARCH- UHS, INC. (OUR PARENT COMPANY) STRATEGIC PLAN - 2010-2014IN 2008, NEW YORK STATE DEPARTMENT OF HEALTH (DOH)DEVELOPED A PREVENTION AGENDA THAT ESTABLISHED 10 PRIORITY AREAS WITH YEAR 2012 GOALS AND MEASURABLE OBJECTIVES. AS PART OF A STATEWIDE EFFORT TO EMPHASIZE LOCAL HEALTH PLANNING, UHSH COLLABORATED WITH THE BROOME AND TIOGA COUNTY HEALTH DEPARTMENTS AND OTHER COMMUNITY PARTNERS TO DETERMINE TWO PUBLIC HEALTH PRIORITIES WHICH FORM THE BASIS OF THE UHSH 2010-2012 COMMUNITY SERVICE PLAN. UHSH IS PROUD OF THE TRADITION OF PARTNERING WITH MANY COMMUNITY AGENCIES, BOTH FORMALLY AND INFORMALLY, TO HELP MEET THE HEALTH NEEDS OF THE COMMUNITY. IN ORDER TO ASSESS COMMUNITY HEALTH NEEDS FOR THIS PLAN, UHSH COLLABORATED WITH THE BROOME AND TIOGA COUNTY HEALTH DEPARTMENTS AND A TASK FORCE OF REPRESENTATIVES FROM COMMUNITY AGENCIES WHICH INCLUDED:- BINGHAMTON UNIVERSITY- BROOME COUNTY COUNCIL OF CHURCHES- BROOME COUNTY DEPARTMENT OF SOCIAL SERVICES- BROOME COUNTY ENVIRONMENTAL MANAGEMENT COUNCIL- BROOME COUNTY HEALTH DEPARTMENT- BROOME COUNTY OFFICE FOR THE AGING- BROOME COUNTY URBAN LEAGUE- BROOME COUNTY YOUTH BUREAU- EXCELLUS BLUECROSS & BLUE SHIELD- OUR LADY OF LOURDES HOSPITAL- MOTHERS & BABIES PRENATAL NETWORK OF SCNY- SUNY UPSTATE MEDICAL UNIVERSITY CLINICAL CAMPUS AT BINGHAMTON - UNITED HEALTH SERVICES HOSPITALS- UNITED WAY OF BROOME COUNTYTHE BROOME AND TIOGA COUNTY COMMUNITY HEALTH ASSESSMENTS ARE THE RESULT OF THIS TASK FORCE'S COLLABORATION AND THE BASIS FOR SELECTION OF THE PUBLIC HEALTH PRIORITIES FRAMING THE COMMUNITY SERVICE PLAN. THE MAPP PROCESS WAS USED TO CONDUCT ASSESSMENTS OF: COMMUNITY THEMES & STRENGTHS, LOCAL PUBLIC HEALTH SYSTEM, COMMUNITY HEALTH STATUS AND FORCES OF CHANGE. THE PROCESS RELIED HEAVILY ON THE CAPTURE AND ANALYSIS OF DATA THROUGH FOCUS GROUPS AND SURVEYS AND THE ANALYSIS OF EXISTING DATA SETS (THE COMMUNITY HEALTH DATA SET, COUNTY HEALTH ASSESSMENT INDICATORS, BEHAVIORIAL RISK FACTOR STATISTICAL SURVEY, YOUTH RISK BEHAVIORIAL SURVEY, STATEWIDE PLANNING AND RESEARCH COUNCIL STATISTICS AND OTHER COUNTY LEVEL DATA AVAILABLE ON THE NYS HEALTH INFORMATION NETWORK)IN COMPARISON TO THE 2013 PREVENTION AGENDA GOALS. UHSH ENHANCED THE PREVENTION QUALITY INDICATORS DATA BY ADDING INCIDENCE DATA FOR BROOME COUNTY RESIDENTS WHO USE PENNSYLVANIA HOSPITALS. THE STEERING COMMITTEE SYNTHESIZED THE ASSESSMENTS IN ORDER TO IDENTIFY STRATEGIC ISSUES AND FORMULATE GOALS AND STRATEGIES. THE STEERING COMMITTEE USED THE FOLLOWING CRITERIA TO RATE THE PREVENTION AGENDA PRIORITIES AND ADDITIONAL PRIORITIES IDENTIFIED BY TASK FORCE MEMBERS:- POTENTIAL COSTS TO THE HEALTH CARE SYSTEM- ABSOLUTE NUMBER OF INDIVIDUALS AFFECTED- WORSENING TREND IN HEALTHCARE INDICATORS OVER THE PAST 5 YEARS- UNDERPERFORMING HEALTHY PEOPLE 2010 REPORT AND/OR NEW YORK STATE 2013 PREVENTION AGENCY GOALS.- WORK TIME LOST OR DISABILITY CLAIMS- PARTICULAR AREAS OF CONCERN (DISPARITIES)- FEASIBILITY FOR POTENTIAL INTERVENTION- AVAILABILITY FOR FUNDING THE INITIATIVES- FORCES FOR CHANGE (TRENDS, FACTORS AND EVENTS)- MEASURABILITY OVER TIME PART VI, LINE 3: UHSH IS COMMITTED TO PROVIDE FINANCIAL ASSISTANCE TO ALL PATIENTS IN NEED AND TO COMMUNICATE THE AVAILABILITY OF ITS FINANCIAL ASSISTANCE AND RELATED PROGRAMS TO ALL. OUR PATIENT FINANCIAL ADVOCATES ARE AVAILABLE TO ASSIST PATIENTS AND PROVIDE ASSESSMENTS FOR ELIGIBILITY UNDER ANY STATE, FEDERAL OR UHSH FINANCIAL ASSISTANCE PROGRAM. BROCHURES AND SIGNAGE ARE POSTED IN MULTIPLE LANGUAGES AS REQUIRED BY NYS REGULATIONS AT EACH REGISTRATION/PATIENT ACCESS AREA. IF NEEDED, TRANSLATION SERVICES ARE AVAILABLE. UHSH ALSO MAINTAINS A FINANCIAL ASSISTANCE HELP LINE THAT IS IDENTIFIED ON ALL INPATIENT & OUTPATIENT BILLS. THE TOTAL 2012 FINANCIAL ASSISTANCE AMOUNTS PROVIDED TO UHSH PATIENTS IS DETAILED IN SCHEDULE H PART 1, LINE 7. PART VI, LINE 4: UHSH SERVES THE GREATER BINGHAMTON, NEW YORK REGION, WHICH ENCOMPASSES BROOME, EASTERN TIOGA, CHENANGO AND WESTERN DELAWARE COUNTIES, IN ADDITION TO SUSQUEHANNA COUNTY, PA. DEMOGRAPHICALLY, THE SERVICE AREA HAS A POPULATION BASE OF APPROXIMATELY 403,000 PEOPLE. THE REGION HAS A HIGHER PROPORTION OF ELDERLY THAN THE UNITED STATES OR NEW YORK STATE AVERAGES, WITH A MEDIAN INCOME THAT IS 19% POORER THAN THE UNITED STATES AVERAGE. PART VI, LINE 5: THE UHSH MISSION IS TO SERVE THE PEOPLE OF OUR REGION, TO IMPROVE OR MAINTAIN THEIR HEALTH, AND TO PROVIDE THE PATIENT-CENTERED, CONTEMPORARY HEALTH SERVICES IN A CARING, COMPETENT AND CONVENIENT MANNER. SERVICES WILL BE AFFORDABLE AND WELL ORGANIZED TO MEET THE NEEDS OF OUR PATIENTS AND THEIR FAMILIES. UHSH SERVES THE COMMUNITY WITH AN OPEN MEDICAL STAFF OF APPROXIMATELY 425 ACTIVE PHYSICIANS AND A DIVERSE COMMUNITY BOARD OF DIRECTORS. ANY SURPLUS FUNDS GENERATED THROUGH OPERATIONS ARE USED SOLELY TO PURCHASE NEEDED MEDICAL EQUIPMENT AND PROVIDE FOR PROGRAM SERVICE ENHANCEMENTS. PART VI, LINE 6: UHSH IS AN IMPORTANT PART OF A LARGER SYSTEM OF INTEGRATED CARE DELIVERY, WHICH PROVIDES ADDITIONAL BENEFITS TO THE COMMUNITY. AS A RESULT OF THE FORMATION OF UHSH IN 1981 AND THE SUBSEQUENT TRANSFORMATION OF THE COMBINED ORGANIZATION INTO THE UHS HEALTH CARE SYSTEM, OUR REGION TODAY OFFERS MORE COMPLETE AND ADVANCED CARE THAN MANY COMMUNITIES FIVE TIMES OUR SIZE. IN 2010, THE UHS SYSTEM ENGAGED IN A STRATEGIC PLANNING PROCESS FOR THE YEARS 2011-2014. CONSISTENT WITH THE MISSION AND VISION, THE PLAN IS FOCUSED ON CONTINUING TO STRENGTHEN THE UHS HEALTH SYSTEM AND ITS SERVICES TO THE COMMUNITY. THE STRATEGIC PLAN IS ORGANIZED AROUND FOUR GOALS: CLINICAL EXCELLENCE, MARKET GROWTH, SERVICE EXCELLENCE AND FINANCIAL STRENGTH. SPECIFIC DESTINATION METRICS OR MEASURES OF SUCCESS WERE DEVELOPED FOR EACH STRATEGIC GOAL. THE SPECIFIC INITIATIVES SUPPORTING ACHIEVEMENT OF THE GOALS ARE REVIEWED ON A REGULAR BASIS. EACH ENTITY CARRIES OUT INITIATIVES LOCALLY AND REGIONALLY. THE UHSH COMMUNITY SERVICE REPORT CAPTURES THE BENEFITS SPECIFIC TO UHSH. - CLINICAL EXCELLENCE: UHSH HAS FOCUSED ITS RESOURCES AND ENERGY AROUND ACHIEVING DISTINCTION AS A HEALTH SYSTEM IN CLINICAL QUALITY AND PATIENT SAFETY. UHSH IS FOCUSED ON VIGOROUS ASSESSMENT AND IMPROVEMENT OF THE ORGANIZATION'S PERFORMANCE USING KEY PATIENT QUALITY, SAFETY AND SATISFACTION INDICATORS. THE PLAN PLACES A FOCUS IN PARTICULAR ON EMERGENCY ROOM PERFORMANCE, CLOSER INTEGRATION OF NON-ACUTE SERVICES WITH THE HOSPITALS, DEVELOPMENT AND IMPLEMENTATION OF STATE-OF-THE-ART INFORMATION TECHNOLOGY TO SUPPORT INITIATIVES IN PATIENT QUALITY AND SAFETY AND NEW INITIATIVES IN THE RECRUITMENT AND RETENTION OF A QUALITY PHYSICIAN AND ALLIED HEALTHCARE PROVIDER WORKFORCE.- SERVICE EXCELLENCE: ADDRESSES DELIVERING ON THE UHSH BRAND PROMISE OF A MEANINGFULLY BETTER PATIENT EXPERIENCE. THE PLAN FOCUSES ON PATIENT-CENTERED CARE AND THE BRAND PROMISE OF RESPECT AND ACCOUNTABILITY. THIS GOAL ALIGNS TECHNOLOGY WITH PERFORMANCE STANDARDS TO IMPROVE ACCESS TO BETTER MEET PATIENT NEEDS.- MARKET GROWTH: THIS GOAL AREA ADDRESSES THE KEY ASPECTS OF ALIGNING TECHNOLOGY, PHYSICIAN RESOURCES AND PROGRAMS AROUND THE CLINICAL NEEDS OF THE SERVICE AREA. THE PLAN FOCUSES ATTENTION ON KEY TERTIARY SERVICES AND THE ASSURANCE OF AN ADEQUATE SUPPLY OF PRIMARY CARE AND SPECIALIST PHYSICIANS FOR THE AREA. AT THE SAME TIME, UHSH REMAINS COMMITTED TO MEETING THE COMMUNITY'S BEHAVIORAL HEALTH SERVICES NEEDS.- FINANCIAL STRENGTH: TO ENSURE UHSH HAS THE FINANCIAL CAPACITY TO SUPPORT ITS CLINICAL SERVICE AND GROWTH GOALS, THE STRATEGIC PLAN CALLS ON THE ORGANIZATION TO DEMONSTRATE CONSISTENT PERFORMANCE WITH RESPECT TO BENCHMARKED OPERATING EFFICIENCIES. THIS INCLUDES PARTICIPATING IN 340B INDIGENT CARE PHARMACY PRICING IN ORDER TO SERVE MORE LOW INCOME ELIGIBLE PATIENTS AND PROVIDE MORE COMPREHENSIVE SERVICE.PART VI, LINE 7: UHSH FILES THE COMMUNITY BENEFIT REPORT WITH NEW YORK STATE 1 X X X X X 0 1 0 0 0 1 1 0 0 MATTHEW SALANGER 402952 402952 78553 78553 160880 160880 8375 8375 10642 10641 661402 661401 0 0 JAMES JEWELL MD 0 197282 0 0 0 0 0 0 0 42301 0 239583 0 0 ROBERT G GOMULKA 232852 155235 38422 25614 4788 3192 10050 6700 9683 6455 295795 197196 0 0 RAJESH DAVE MD 384630 96158 62957 15739 11563 2891 13400 3350 13036 3259 485586 121397 0 0 JOHN CARRIGG 334281 0 58607 0 0 0 16750 0 20923 0 430561 0 0 0 ELIZABETH BOLAND 236418 0 33162 0 0 0 16750 0 10679 0 297009 0 0 0 MICHAEL MCNALLY 217043 0 30617 0 0 0 16593 0 10352 0 274605 0 0 0 MARK MCMANUS 212178 0 29892 0 0 0 16219 0 14717 0 273006 0 0 0 CHRISTINA BOYD 88426 88426 12508 12508 0 0 6763 6763 8955 8955 116652 116652 0 0 NANCY RONGO 157700 0 22047 0 0 0 12043 0 18120 0 209910 0 0 0 ROBERT MCCARTHY 82970 82970 0 0 0 0 5559 5559 4563 4564 93092 93093 0 0 ISKANDAR KASSIS MD 509606 0 0 0 0 0 0 0 12855 0 522461 0 0 0 ALIAKSANDAR DZMITRYIEV 223527 0 0 0 0 0 0 0 1224 0 224751 0 0 0 SALVATORE ARGIRO 230006 0 0 0 0 0 0 0 17239 0 247245 0 0 0 OLAYINKA WILHELMMD 292709 0 0 0 0 0 0 0 17708 0 310417 0 0 0 JOHN R CUNNINGHAM MD 280007 0 0 0 0 0 0 0 9852 0 289859 0 0 0 SUPPLEMENTAL INFORMATION PART III PART I - QUESTION 4B ALL THE AMOUNTS LISTED IN SCHEDULE J, PART II, COLUMN B (III) REFLECT PAYMENTS RECEIVED FROM A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN FOR THOSE INDIVIDUALS SHOWN. PART I - QUESTIONS 6A/6B UHSH'S EXECUTIVE COMPENSATION INCENTIVE PLAN HAS VARIOUS PERFORMANCE MEASURES WHICH INCLUDE ONES FOR CLINICAL EXCELLENCE, SERVICE EXCELLENCE, MARKET GROWTH AND FINANCIAL STRENGTH. ONE MEASURE UNDER THE FINANCIAL STRENGTH HEADING IS THE COMBINED NET INCOME OF UHSH AND UNITED MEDICAL ASSOCIATES, P.C.. A PORTION OF THE 2012 INCENTIVE COMPENSATION PAYMENT WAS ATTRIBUTABLE TO THE TWO COMPANIES MEETING THE COMBINED NET INCOME GOALS. A DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 SEEPTFIVE 2009-09-02 28880000 REFINANCE OF OLD ISSUE 0 0 0 B DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 BANKQLFID 2010-12-14 20000000 CONSTRUCTION OF CLINIC BUIDING 0 0 0 A 28800000 2923000 33442927 1238999 1990 1 0 1 1 B 20000000 400000 19600000 2012 0 0 1 1 A 0 0 1 1 0 0.03140 0.03140 1 0 1 B 0 0 0 0 1 0 1 A 1 0 0 0 0 0 B 0 0 0 0 0 0 0 0 0 A 0 B 0 ISSUER NAME EIN CUSIP DATE ISSUED ISSUE PRICE DORM AUTH-STATE OF NY 14-6000293 649905QZ2 09/02/09 535,000 DORM AUTH-STATE OF NY 14-6000293 649905RA6 09/02/09 1,245,000 DORM AUTH-STATE OF NY 14-6000293 649905RB4 09/02/09 1,270,000 DORM AUTH-STATE OF NY 14-6000293 649905RC2 09/02/09 1,290,000 DORM AUTH-STATE OF NY 14-6000293 649905RD0 09/02/09 1,315,000 DORM AUTH-STATE OF NY 14-6000293 649905RE8 09/02/09 1,340,000 DORM AUTH-STATE OF NY 14-6000293 649905RG3 09/02/09 1,480,000 DORM AUTH-STATE OF NY 14-6000293 649905RH1 09/02/09 1,515,000 DORM AUTH-STATE OF NY 14-6000293 649905RF5 09/02/09 2,815,000 DORM AUTH-STATE OF NY 14-6000293 649905RJ7 09/02/09 2,800,000 DORM AUTH-STATE OF NY 14-6000293 649905RK4 09/02/09 3,095,000 DORM AUTH-STATE OF NY 14-6000293 649905RL2 09/02/09 10,180,000 FORM 990, PART VI, SECTION A, LINE 4 EFFECTIVE FEBRUARY 1, 2012, UNITED MEDMANAGEMENT, INC. (EIN 16-1396133), AN ENTITY THAT WAS RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INERNAL REVENUE CODE, AS EVIDENCED BY A DETERMINATION LETTER DATED JANUARY 28,1998, WAS MERGED INTO UNITED HEALTH SERVICES HOSPITALS, INC. (EIN 16-1165049),AN ENTITY THAT WAS RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, AS EVIDENCED BY A DETERMINATION LETTER ISSUED IN JULY, 1982. INASMUCH AS THE RELATIONSHIP BETWEEN UNITED MEDMANGEMENT, INC. AND UNITED MEDICAL ASSOCIATES, P.C. (EIN 16-1395906), AN ENTITY THAT WAS RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, AS EVIDENCED BY A DETERMINATION LETTER DATED JANUARY 28, 1998, WAS TAKEN INTO CONSIDERATION BY THE INTERNAL REVENUE SERVICE IN GRANTING SUCH RECOGNITION TO UNITED MEDICAL ASSOCIATES, P.C., UNITED HEALTH SERVICES HOSPITALS, INC. AND UNITED MEDICAL ASSOCIATES, P.C. HAVE ENTERED INTO A SERVICE AGREEMENT, DATED AS OF FEBRUARY 1, 2012, PURSUANT TO WHICH UNITED HEALTH SERVICES HOSPITALS, INC. HAS AGREED TO UNDERTAKE CERTAIN OF THE RESPONSIBILITIES FORMERLY UNDERTANKEN BY UNITED MEDMANAGEMENT,INC. A COPY OF SAID SERVICE AGREEMENT, WITH EXHIBITS, IS ATTACHED HERETO. FORM 990, PART VI, SECTION A, LINE 6 THE MEMBER OF THE ORGANIZATION IS UNITED HEALTH SERVICES, INC.. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBER OF THE ORGANIZATION IS UNITED HEALTH SERVICES, INC. FORM 990, PART VI, SECTION B, LINE 11 THE 990 PREPARATION AND FILING IS THE RESPONSIBILITY OF THE UHSH BOARD OF DIRECTORS WHICH DELEGATES THE TIMELY AND ACCURATE COMPLETION OF THE 990 (AND 990-T) TO MANAGEMENT. THE UHSH FINANCE DIVISION PREPARES THE 990 WHICH IS THEN REVIEWED BY THE UHSH CFO, UHSH CORPORATE COUNSEL AND BY UHSH'S INDEPENDENT AUDITORS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12 A WRITTEN CONFLICT OF INTEREST POLICY WAS ADOPTED BY THE COMPANY IN MAY OF 2013. PRESENTLY, THE BYLAWS OF THE ORGANIZATION SET FORTH ITS POLICY WITH RESPECT TO CONFLICTS OF INTEREST OF ITS DIRECTORS. IN ADDITION, THE ORGANIZATION'S OFFICERS, DIRECTORS AND EMPLOYEES COMPLY WITH THE WRITTEN CONFLICT OF INTEREST POLICY OF ITS PARENT, UNITED HEALTH SERVICES, INC. FORM 990, PART VI, SECTION B, LINE 15 IT IS THE PHILOSOPHY OF UHSH THAT THE EXECUTIVE STAFF BE COMPENSATED FAIRLY FOR ITS WORK. BASE SALARY LEVELS, INCENTIVE/BONUS PROGRAMS AND BENEFIT PLANS SHALL TAKE INTO ACCOUNT THE LOCAL, REGIONAL AND NATIONAL MARKETS TO ALLOW UHSH TO RECRUIT, MOTIVATE, REWARD, RECOGNIZE AND RETAIN HIGHLY TALENTED EXECUTIVES WITH THE SKILL SETS REQUIRED TO FULFILL ITS MISSION. THE EXECUTIVE COMPENSATION PROGRAM MUST FOCUS EXECUTIVES' ATTENTION ON UHS'S STRATEGIC INITIATIVES AND MISSION CRITICAL PERFORMANCE OBJECTIVES THAT WILL LEAD TO THE ORGANIZATION'S AND SYSTEM'S SUCCESS. TO CARRY OUT THIS COMPENSATION PHILOSOPHY, THE UHSH BOARD OF DIRECTORS' EXECUTIVE COMPENSATION COMMITTEE REVIEWS ANNUALLY A COMPREHENSIVE REPORT PREPARED BY AN EXTERNAL EXECUTIVE COMPENSATION CONSULTING FIRM, SULLIVAN COTTER ASSOCIATES, TO DETERMINE THE APPROPRIATENESS OF THE BASE AND TOTAL COMPENSATION LEVELS FOR THE SENIOR MANAGEMENT STAFF. THIS ANNUAL REPORT FOCUSES ON TWO KEY AREAS: 1) THE COMPETITIVENESS OF THE SENIOR MANAGEMENT STAFF'S BASE AND TOTAL COMPENSATION (INCLUDING BENEFITS) VS. NATIONAL BENCHMARK DATA FOR COMPARABLY SIZED HEALTH CARE SYSTEMS AND HOSPITALS (BASED UPON "TOTAL REVENUE" METRICS), AND 2) A "REASONABLENESS ASSESSMENT" CONSISTENT WITH U.S. TREASURY DEPARTMENT REGULATIONS GOVERNING EXECUTIVE COMPENSATION FOR NOT-FOR-PROFIT ORGANIZATIONS. THE DATA FROM THIS REPORT ASSISTS THE EXECUTIVE COMPENSATION COMMITTEE IN DETERMINING THE APPROPRIATENESS OF SENIOR MANAGEMENT'S CURRENT BASE AND TOTAL COMPENSATION LEVELS AND THE NEED FOR ANY ADJUSTMENTS FOR THAT CALENDAR YEAR. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION PROVIDES FORM 1023, FORM 990 AND OTHER INFORMATION REQUIRED UNDER INTERNAL REVENUE SERVICE REGULATIONS TO THE PUBLIC, UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: CHANGE IN INTEREST IN NET ASSETS OF UHS FOUNDATION, INC. 1,093,287. RETIREMENT PLAN OBLIGATION CHANGES -3,933,578. RECOGNITION OF MERGER WITH UNITED MEDMANAGEMENT 4,789,443. UNITED HEALTH SERVICES INC 10-42 MITCHELL AVE BINGHAMTON NY 13903 222682421 PARENT COMPANY NY 501(C)(3) 9 BOARD OF DIRECTORS UHS INC 0 CHENANGO MEMORIAL HOSPITAL INC 179 N BROAD STREET NORWICH NY 13815 150532180 ACUTE & OUTPATIENT SERVICES NY 501(C)(3) 3 UNITED HEALTH SERVICES INC 0 DELAWARE VALLEY HOSPITAL INC ONE TITUS PLACE WALTON NY 13856 150524324 ACUTE & OUTPATIENT SERVICES NY 501(C)(3) 3 UNITED HEALTH SERVICES INC 0 IDEAL SENIOR LIVING CENTER INC 508 HIGH AVE ENDICOTT NY 13760 222902896 SENIOR LIVING CENTER NY 501(C)(3) 3 UNITED HEALTH SERVICES INC 0 IDEAL SENIOR LIVING CENTER HOUSING CORPORATION 508 HIGH AVE ENDICOTT NY 13760 222902899 SENIOR HOUSING NY 501(C)(3) 9 UNITED HEALTH SERVICES INC 0 PROFESSIONAL HOME CARE INC 4401 VESTAL PARKWAY EAST VESTAL NY 13850 161261977 HOME HEALTH CARE NY 501(C)(3) 9 UNITED HEALTH SERVICES INC 0 TWIN TIER HOME HEALTH INC 4401 VESTAL PARKWAY EAST VESTAL NY 13850 222348211 HOME HEALTH CARE NY 501(C)(3) 7 UNITED HEALTH SERVICES INC 0 UNITED MEDMANAGEMENT INC 601 RIVERSIDE DRIVE JOHNSON CITY NY 13790 161396133 PHYSICIAN PRACTICES NY 501(C)(3) 11B UNITED HEALTH SERVICES INC 0 ECKELBERGER TOWER INC 156 CORLISS AVENUE JOHNSON CITY NY 13790 237171440 MEDICAL STUDENT HOUSING NY 501(C)(3) 9 BOARD OF DIRECTORS UHS HOSPITALS INC 0 PATHWAY HEALTH MGMT INC 20 MITCHELL AVENUE BINGHAMTON NY 13903 161228654 WINDING DOWN OF MGMT. SVCS. TO SUSQUEHANNA MED. ASSOC. NY UNITED HEALTH SERVICES INC C -607 4893 0.50000 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 1 0 0